Individual
JOHN J TAKACH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
45 CHELTENHAM AVE, CHELTENHAM, PA 19012-1412
(215) 782-8101
(215) 782-8103
Mailing address
45 CHELTENHAM AVE, CHELTENHAM, PA 19012-1412
(215) 782-8101
(215) 782-8103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 019568-L
PA
Other
Enumeration date
01/20/2007
Last updated
07/08/2007
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